Senior Treasury Manager

Overview

This role involves leading treasury and cash management activities across operating, regulated, and clinical entities, partnering with the Treasury Director to support expansion into international markets and into commercial lines of business. The position is currently scoped as an individual contributor with potential for future people-management responsibility as the function scales.

Key focus areas include international and cross-border banking, payment operations supporting provider/practice and commercial businesses, debt management and covenant compliance, and cash and liquidity management. The role also ensures integrity and accuracy of cash and treasury reporting across the broader finance function.

Responsibilities

• Build treasury infrastructure for international and commercial expansion, including:
  • In-country account structures
  • Multi-currency cash management
  • Banking and payments rails supporting new regulated, international, and commercial entities
• Manage the debt portfolio and covenant compliance calendar, including:
  • Revolver, letters of credit, and surety bonds
  • Prepare and certify covenant calculations and recurring lender reporting
  • Partner with Legal and Accounting on credit agreement interpretation
  • Maintain a controlled record of debt documentation
• Drive daily cash positioning, liquidity, and forecasting across all entities, including:
  • Concentration and funding adequacy
  • Short- and long-term forecasts with variance analysis and liquidity impact
  • Serve as the escalation point for daily cash operations
• Manage capital flows and short-term investments with Accounting, Tax, and Legal, including:
  • Intercompany funding, capital contributions, and dividend planning
  • Invest excess cash within board- and regulator-approved policy guidelines
• Lead treasury controls, audit, and policy administration, including ICFR activities across the cash management function:
  • Annual certification
  • Quarterly investment concentration risk monitoring against health insurance regulations
  • Audited financial statement footnotes and disclosures
  • Treasury policy administration
• Own and advance the Treasury Management System (Kyriba), including implementation of new modules and adherence to IT and general controls
• Serve as a banking and payments subject matter expert while developing internal and external relationships:
  • Lead cross-functional treasury projects
  • Coach and develop staff as the function scales (if/when people management responsibilities expand)
  • Manage banking partners, payment processors, custodians, and technology vendors, including pricing negotiation, service reviews, and bank fee analysis
  • Partner across Accounting, FP&A, Tax, Legal, Compliance, Claims, and clinical/provider organizations

Requirements

• 10+ years of progressive cash management and treasury operations experience, preferably in a large corporate treasury environment
• Bachelor’s degree in accounting or finance required
• Certified Treasury Professional (CTP) accreditation required
• Prior team lead or people management experience
• International treasury experience, including:
  • Multi-currency cash management
  • Cross-border funding
  • FX exposure management
  • Standing up in-country bank account structures
• Experience supporting commercial lines of business
• Healthcare or insurance background preferred, including familiarity with Medicare Advantage and statutory/regulated entity requirements
• Demonstrated experience with Treasury Management Systems (Kyriba) and BAI2 / ISO 20022 file formats required
• NetSuite or comparable general ledger software experience
• General knowledge of AI tools to automate treasury processes required
• Hands-on experience with debt compliance and management covering credit agreements, covenant and borrowing reporting, and lender relationship management
• ACH and NACHA rules experience required
• Excellent written and verbal communication skills, including presenting to senior leadership, auditors, regulators, and external partners
• Advanced spreadsheet proficiency and strong general computer skills required

Preferred Qualifications

• Proven delivery in changing, complex, high-growth environments, with sound judgment in ambiguous situations, especially when standing up processes in new markets and new lines of business
• Results-oriented approach with analytical problem-solving skills
• Strong attention to detail, excellent documentation, and organizational skills
• Strong ethical standards and ability to maintain confidentiality of financial and other sensitive information consistent with moral, professional, and regulatory requirements
• Investment knowledge
• MBA

Compensation & Benefits

• Salary range: $110,500 - $150,000 / year
• Employer-sponsored health, dental, and vision plan with low or no premium
• Generous paid time off
• $100 monthly mobile or internet stipend
• Stock options for all employees
• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
• Parental leave program
• 401K program
• Additional notes:
  • Total rewards package is for full-time employees only; Intern and Contract positions are not eligible

Location

Not specified in the provided job description.

Equal Opportunity

The employer is an equal opportunity employer and is committed to a safe and supportive work environment where all employees have the opportunity to participate and contribute. No discrimination is intended on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law.